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The Effects of Auditory Feedback Gait Training Using Smart Insole on Stroke Patients.

Junghyun Kim1, Sangwoo Jung2, Changho Song1

  • 1Department of Physical Therapy, Sahmyook University, Seoul 01795, Korea.

Brain Sciences
|November 27, 2021
PubMed
Summary

Auditory feedback gait training (AFGT) using smart insoles significantly improved gait, balance, and daily activities in stroke survivors. This innovative approach enhances rehabilitation outcomes for chronic stroke patients.

Keywords:
footgaitinsolestrokeweight-bearing

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Area of Science:

  • Rehabilitation Medicine
  • Biomedical Engineering
  • Neuroscience

Background:

  • Stroke frequently results in impaired gait, balance deficits, and reduced ability to perform activities of daily living (ADL).
  • Conventional gait training offers benefits but may not fully restore motor function in chronic stroke patients.
  • Smart insoles offer a novel platform for delivering targeted feedback during gait rehabilitation.

Purpose of the Study:

  • To evaluate the efficacy of auditory feedback gait training (AFGT) utilizing smart insoles.
  • To compare the effects of AFGT with standard gait training on gait variables, dynamic balance, and ADL in chronic stroke patients.

Main Methods:

  • A randomized controlled trial involving 45 chronic stroke patients (stroke onset > 6 months).
  • Participants were assigned to either a smart insole AFGT group or a general gait training group (GGTG).
  • Both groups received conventional rehabilitation; the intervention group additionally received AFGT via smart insoles twice weekly for 4 weeks.

Main Results:

  • The smart insole AFGT group demonstrated significant improvements in spatiotemporal gait parameters and gait symmetry compared to the GGTG (p < 0.05).
  • Significant enhancements were observed in dynamic balance (Timed Up and Go test, Berg Balance Scale) and ADL (Modified Barthel Index) in the AFGT group.
  • These improvements suggest superior efficacy of AFGT over general gait training for functional recovery post-stroke.

Conclusions:

  • The AFGT system, integrated with smart insoles, is an effective method for enhancing gait, dynamic balance, and ADL in chronic stroke patients.
  • This technology-driven approach represents a promising advancement in stroke rehabilitation strategies.
  • Further research could explore long-term effects and optimal parameters for AFGT implementation.